Publications by authors named "Vitorino Modesto dos Santos"

90 Publications

COVID-19 -awareness of diagnostic pitfalls.

Acta Clin Belg 2021 Apr 7:1-2. Epub 2021 Apr 7.

University Center of Brasília (Uniceub), Brasília, Brazil.

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http://dx.doi.org/10.1080/17843286.2021.1909453DOI Listing
April 2021

Rectal Metastases of Breast Carcinoma: A Case Report.

Arch Iran Med 2021 Feb 1;24(2):125-128. Epub 2021 Feb 1.

Medicine Department, Armed Forces Hospital and Catholic University, Brasília-DF, Brazil.

The scarcely reported hematogenous rectal metastases from breast cancer are rare and the diagnosis is challenging. They may be recognized before, concomitantly with, or after the diagnosis of the primary site of breast cancer. Invasive lobular cancer is the histological type more frequently described, and most of the affected patients have a late diagnosis. Tardive recognition is associated with poor outcomes, despite the management options. Endoscopic and imaging evaluations, mainly magnetic resonance studies, are useful, but the anatomopathological findings are mandatory to confirm the diagnostic hypothesis. We describe a middle-aged woman with advanced rectal metastases of unsuspected breast cancer found during the evaluation of manifestations due to intestinal implants. One must highlight long-term follow-up of breast cancers even if seeming in remission. The aim of this report is to enhance the suspicion index of primary health care workers.
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http://dx.doi.org/10.34172/aim.2021.19DOI Listing
February 2021

Photoclinic: Hourglass stomach in Chagas disease.

Arch Iran Med 2021 01 1;24(1):84-85. Epub 2021 Jan 1.

Radiology Service, Armed Forces Hospital, Brasília-DF, Brazil.

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http://dx.doi.org/10.34172/aim.2021.12DOI Listing
January 2021

A Brazilian male with typical oral and pulmonary paracoccidioidomycosis.

Med J Islam Repub Iran 2019 21;33:145. Epub 2019 Dec 21.

State University of Health Sciences of Alagoas, Brazil.

An autochthonous case of paracoccidioidomycosis was reported in a city of north Iran. This condition is a well-known endemic fungal infection highly prevalent in Latin American countries, with an incidence of 1 to 3.7 cases per 100.000 annually in Brazil. The classical features are cutaneous lesions, lymph node, and pulmonary involvements, while typical oral changes are superficial ulcers with hemorrhage and moriform aspect. Herein is reported an adult male patient with characteristic oral and pulmonary lesions. Rural environment, male gender, cigarette smoking, and alcohol abuse were risk factors; and clinical history, imaging studies, and histopathologic data established the diagnosis. The patient improved well by administration of sulfamethoxazole plus trimethoprim. The aim of this case study is to enhance the awareness of generalists about this mycosis.
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http://dx.doi.org/10.34171/mjiri.33.145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7137875PMC
December 2019

Unilateral pulmonary hypoplasia.

Respir Med 2019 Nov - Dec;160:105818. Epub 2019 Nov 8.

Department of Internal Medicine of Armed Forces Hospital and Catholic University, Estrada Do Contorno Do Bosque S/n, Cruzeiro Novo, CEP 70630-900, Brasília-DF, Brazil. Electronic address:

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http://dx.doi.org/10.1016/j.rmed.2019.105818DOI Listing
August 2020

Pulmonary Cryptococcosis.

Arch Iran Med 2019 10 1;22(10):629-630. Epub 2019 Oct 1.

Catholic University and Armed Forces Hospital, Brasília-DF, Brazil.

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October 2019

Diagnosis of Hepatic Hydatid Cysts by Contrast-Enhanced Ultrasound.

Ultraschall Med 2020 Dec 24;41(6):699-700. Epub 2019 Oct 24.

General Surgery, State-Workers-Hospital, São Paulo-SP, Brazil, São Paulo, Brazil.

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http://dx.doi.org/10.1055/a-1023-2333DOI Listing
December 2020

Delayed Diagnosis of Esophageal Fistula Associated with Malignancy.

J Coll Physicians Surg Pak 2019 10;29(10):1018

Department of General Surgery, State Workers Hospital, São Paulo-SP (HSE), Brazil.

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http://dx.doi.org/10.29271/jcpsp.2019.10.1018DOI Listing
October 2019

Pneumorrhachis and asthma exacerbation in young people.

J Asthma 2020 07 22;57(7):743. Epub 2019 Apr 22.

Department of Internal Medicine of Armed Forces Hospital and Catholic University of Brasília, Brasília-DF, Brazil.

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http://dx.doi.org/10.1080/02770903.2019.1604744DOI Listing
July 2020

Enterobius vermicularis: Uncommon Clinical Presentations.

Arch Iran Med 2019 02 1;22(2):104-105. Epub 2019 Feb 1.

Adjunct-professor, Internal Medicine Department of Armed Forces Hospital and Catholic University, Brasília-DF, Brazil.

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February 2019

Photoclinic: Opaque hemithorax.

Arch Iran Med 2018 12 1;21(12):613-615. Epub 2018 Dec 1.

Internal Medicine Department, Armed Forces Hospital, Brasília-DF, Brazil.

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December 2018

Behçet's Disease and Hemoptysis.

Turk Thorac J 2018 Oct 1;19(4):233-234. Epub 2018 Oct 1.

Department of Internal Medicine, Armed Forces Hospital and Catholic University of Brasília, Brasília-DF, Brazil.

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http://dx.doi.org/10.5152/TurkThoracJ.2018.180128DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196912PMC
October 2018

Carotid artery thickness in obese patients with chronic renal failure.

J Bras Nefrol 2018 Oct-Dec;40(4):428. Epub 2018 Oct 18.

Universidade Católica de Brasília, Hospital da Forças Armadas, Brasília, DF, Brasil.

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http://dx.doi.org/10.1590/2175-8239-jbn-2018-0172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6533996PMC
April 2020

Letter to the Editor: Desquamative interstitial pneumonia revisited half a century later.

Rom J Morphol Embryol 2018 ;59(1):391-392

Department of Internal Medicine, Armed Forces Hospital and Catholic University of Brasilia, Cruzeiro Novo, Brasilia, Distrito Federal, Brazil;

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October 2018

Pseudo porphyria or porphyria cutanea tarda?

Rev Gastroenterol Peru 2018 Jan-Mar;38(1):111-112

Department of Internal Medicine, Armed Forces Hospital and Catholic University. Brasília DF, Brazil.

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January 2019

Cardiac and lymphatic metastases from lung cancer.

Arch Iran Med 2018 02 1;21(2):82-83. Epub 2018 Feb 1.

Preceptor of Medical Residency, General Surgery Department, State Worker's Hospital, São Paulo-SP, Brazil.

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February 2018

Henoch-Schönlein purpura with major gastrointestinal involvement.

Rev Gastroenterol Peru 2017 Oct-Dec;37(4):399-400

Division of Dentistry, Armed Forces Hospital. Brasília-DF, Brazil.

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November 2018

A 52-year-old man with gouty arthritis and erosive lesion in the hip.

Rom J Morphol Embryol 2017 ;58(2):557-560

Department of Internal Medicine, Armed Forces Hospital, Cruzeiro Novo, Brasilia, Distrito Federal, Brazil;

The case study of peripheral and axial gouty arthritis is described in a 52-year-old man without concomitant clinical evidence of tophaceus gout on physical evaluation on admission. Gout is a metabolic disorder related to excess of uric acid in the extracellular compartment, and deposition of monosodium urate crystals in the joints and other sites. Arthritis and tophi are major manifestations, which more often involve the peripheral joints asymmetrically. Chronic tophaceous gout commonly develops after a decade of recurrent polyarticular gout. With lower frequency, the axial skeleton (spine and sacroiliac region) may be affected, condition sometimes associated with additional concerns, diagnostic challenges and pitfalls. Higher suspicion index and utilization of novel radiographic tools can settle these matters. Radiographic imaging exams include plain radiography, computed tomography (CT), magnetic resonance imaging (MRI), and bone scintigraphy to show bone erosion and joint lesions characterizing the spectrum of gouty osteoarthropathy.
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April 2018

[Miliary tuberculosis: the role of necropsy studies].

Infez Med 2017 06;25(2):162-165

Surgery Department of State Workers Hospital (HSE), São Paulo-SP, Brazil.

This case study of generalized miliary tuberculosis in a Brazilian man without AIDS is reported in order to emphasize the role of histopathological study for diagnosis. We comment on a recent Indian study involving 40 cases of surgical and necropsy specimens in which the diagnosis of tuberculosis was made, as well as a previous Brazilian case report. The authors believe that non-specialists should be better informed about the possibility of miliary tuberculosis, which involves clinical diagnostic challenges. Despite limitations, minimally invasive necropsy may be an alternative to elucidate causes of death in low-income countries.
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June 2017

Caput Medusae due to portal hypertension in schistosomiasis mansoni.

Rev Gastroenterol Peru 2017 Jan-Mar;37(1):94-95

Department of Internal Medicine, Armed Forces Hospital and Catholic University. Brasília-DF, Brazil.

A 62-year-old Brazilian man who lived in endemic areas of tropical diseases had an episode of hematemesis associated with portal hypertension. He used to swim in natural ponds during childhood and developed the hepatosplenic form of schistossomiasis with moderate ascites, in addition to the characteristic features of abdominal Caput Medusae. The aim of the report is highlight the role of chronic liver disease and schistossomiasis.
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April 2018

To: Ralstonia pickettii bacteremia in hemodialysis patients: a report of two cases.

Rev Bras Ter Intensiva 2016 Oct-Dec;28(4):488-489

Hospital das Forças Armadas - Brasília (DF); Universidade Católica de Brasília - Brasília (DF), Brasil.

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http://dx.doi.org/10.5935/0103-507X.20160082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5225925PMC
August 2017

Multiple myeloma and secondary plasma cell leukemia.

Rom J Morphol Embryol 2016 ;57(2 Suppl):837-839

Department of Internal Medicine, Armed Forces Hospital, Cruzeiro Novo, Brasilia, Distrito Federal, Brazil;

Plasma cell leukemia is very rare condition characterized by malignant proliferation of plasma cells in blood and bone marrow, which is aggressive and has a short survival even with conventional treatment. This ominous entity may be primary, or develops secondarily during the course of multiple myeloma. A 53-year-old Brazilian woman with multiple myeloma is described with bone marrow evaluation revealing 25% plasma cells. The quantification of plasma cell infiltration in bone marrow aspirate and immunohistochemistry study revealed consistent features of myeloma and plasma cell leukemia, and lambda light chain expression. Worthy of note was the absence of CD56 expression and the expression of CD20; moreover, 23% of circulating plasma cells were detected in peripheral blood smears. Therefore, the diagnosis of plasma cell leukemia was characterized and therapeutic schedules with dexamethasone, thalidomide, cisplatin, doxorubicin, cyclophosphamide, and etoposide were utilized. With significant clinical improvement, the patient is currently waiting for bone marrow transplant.
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April 2017

Management of Aortic Dissection.

Res Cardiovasc Med 2016 Aug 23;5(3):e32459. Epub 2016 Jul 23.

Internal Medicine Department, Armed Forces Hospital, Catholic University, Brasilia, Brazil.

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http://dx.doi.org/10.5812/cardiovascmed.32459DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5075389PMC
August 2016

Parotid Cystic Lesion in Amelanotic Malignant Melanoma.

J Coll Physicians Surg Pak 2016 Sep;26(9):781-3

Department of Medicine, Armed Forces Hospital, Brasília-DF, Brazil.

A 60-year Brazilian woman, presented with an enlarged lymph node in the neck for one year, and a superficial nonulcerated lesion was observed in the scalp. Fine needle aspiration and biopsy of the lymph node revealed amelanocytic metastasis, and immunohistochemistry study showed Melan-A/ Mart-1 antigen (clone A103 and S-100 protein). The entire suspected area of the scalp was further resected and an amelanotic melanoma without angiolymphatic invasion was diagnosed. Ultrasonography and PET-computed tomography showed hypermetabolic cystic area in the right parotid. Furthermore, aspiration biopsy and surgical samples from parotid cyst confirmed the malignant amelanotic melanoma. Cystic metastases are scarcely reported in parotid gland, and can pose diagnostic challenges.
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http://dx.doi.org/2435DOI Listing
September 2016

Complicated Weil Disease.

Balkan Med J 2016 Jul 1;33(4):480-1. Epub 2016 Jul 1.

Department of Internal Medicine, Armed Forces Hospital and Catholic University of Brasília, Brasília-DF, Brazil.

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http://dx.doi.org/10.5152/balkanmedj.2016.16300DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5001832PMC
July 2016

A 61-year-old woman with adult T-cell leukemia÷lymphoma.

Rom J Morphol Embryol 2016 ;57(2):563-6

Department of Internal Medicine, Armed Forces Hospital, Brasilia, Distrito Federal, Brazil;

Adult T-cell leukemia÷lymphoma (ATL) is caused by human T-cell lymphotropic virus type-1 (HTLV-1) infection. Classification of ATL includes acute, chronic, lymphomatous and smoldering, and main features are hypercalcemia, organomegaly, bone, brain, lung, and skin changes. Elevated mortality rates of ATL may be due to the advanced age at diagnosis, because this malignancy can evolve unsuspected for decades before the first clinical manifestations. Palliative therapy, chemotherapy and stem cell transplantation are often utilized, but response to treatment is poor. The patient herein reported presented diffuse abdominal pain with duration of eight months in addition to ascites. The diagnosis of the acute leukemia type of ATL was done with base on clinical, laboratory and imaging findings. Gastrointestinal symptoms and ascites are uncommon first manifestations of ATL, and pose challenging diagnosis.
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April 2017

Colorectal cancer in Latin America. Novel concerns.

Rev Gastroenterol Peru 2016 Apr-Jun;36(2):179

Department of Internal Medicine, Armed Forces Hospital and Catholic University. Brasilia, Brazil.

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May 2017